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目的探讨经尿道前列腺电切除术(TURP)后大出血的治疗方法与疗效,并针对其原因提出防护措施,以提高前列腺电切除术后的诊断及治疗水平。方法该院自2007年1月—2011年12月共计312例患者行前列腺经尿道电切除术,年龄58～82岁,平均年龄(72.3±7.4)岁,病程1～25年。其中14例患者出现术后大出血,术中止血措施完善,术后常规留置导尿管,并用生理盐水进行膀胱冲洗2～5 d,5～7 d后拔除导尿管,术后随访6个月。结果 14例前列腺电切除术后大出血患者,经保守治疗后痊愈9例,经二次开放手术止血1例,经电切镜止血4例,无死亡病例,均已出院,有效率100%。结论 TURP术前对患者进行凝血功能和全身情况的全面检查与评估,术后保持冲洗通畅,如出现大出血,要做到及时诊断并采取正确的处理措施,有效提高前列腺电切除术后大出血的治疗效果。
Objective To investigate the treatment and curative effect of massive hemorrhage after transurethral resection of prostate (TURP), and to provide protective measures for the cause of the bleeding, so as to improve the diagnosis and treatment level after resection of prostatectomy. Methods From January 2007 to December 2011 a total of 312 patients underwent transurethral resection of the prostate (aged 58-82 years) with an average age of 72.3 ± 7.4 years and a course of 1 to 25 years. Among them, 14 patients had hemorrhage after operation, and the measures of hemostasis during operation were perfect. Conventional catheterization was performed after operation, and bladder flushing was performed with saline for 2-5 days. Catheters were removed 5-7 days after operation. The patients were followed up for 6 months . Results Of the 14 patients who had massive hemorrhage after resection of prostatectomy, 9 patients were cured after conservative treatment. One patient underwent open surgery and the other 4 patients died of death without being dead. The effective rate was 100%. Conclusion TURP patients before coagulation function and the overall condition of a comprehensive examination and evaluation of postoperative maintenance of irrigation unobstructed, such as the emergence of major bleeding, to be timely diagnosis and take the proper treatment measures to effectively improve the treatment of major bleeding after resection of prostatectomy effect.